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DR. PHILIP S DUDAK DC FNP-C NPI 1720067051


NPI Information

NPI: 1720067051
Provider Name: DR. PHILIP S DUDAK, DC, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MIDWEST ANESTHESIA ASSOCIATES PC

PECOS Registration: Yes

Address:
11133 DUNN RD
SAINT LOUIS, MO
ZIP 63136
Phone: (314) 653-5228
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DR. Philip S Dudak, DC, FNP-C is a family nurse practitioner in Saint Louis, MO with 12 years of experience. DR. Philip S Dudak, DC, FNP-C NPI is 1720067051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11133 DUNN RD
SAINT LOUIS, MO
ZIP 63136-163
Phone: (314) 653-5228

The NPI 1720067051 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)

The enumeration date for this NPI number is 1/13/2006 and was last updated on 7/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor038006559ILLINOISNo
2111N00000XChiropractor005778MISSOURINo
3363L00000XNurse Practitioner209010226ILLINOISNo
4363L00000XNurse Practitioner2013003629MISSOURINo
5363LF0000XNurse PractitionerFamily209010226ILLINOISYes
6363LF0000XNurse PractitionerFamily2013003629MISSOURINo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1118828OTHERILLINOISBCBS
24400267OTHERUHC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.